सातारा

(3) Where the person or any partner of the firm or the Director, Managing Director, Manager or managing Agent of a Company is/was holding any Excise Licence, if so state the kind of licence held and the duration of the licence. (4) Whether any excisable articles are/were stored in the premises proposed for location of the licence and if so, give full details. (5) Certificate from the Municipality / Grampanchayat, etc. to the effect that it has no objection to locate the licenced premises in the concerned locality. (6) Does the applicant agree to give an undertaking in writing to abide by the provisions of the Act, and the rules, regulations and orders made thereunder and conditions of the licence applied for.

(7) Whether the applicant has been convicted at any time of an offence punishable under any of the provisions of the Bombay Prohibition Act, 1949, or any Rules, Regulations or Orders made thereunder. I/ We hereby declare that the particulars given above are correct. I/We enclose a Chalan No. .........................------ , ध्यात तघ[20 ................................................. as an evidence for the payment of a sum of Rs. 25 (Rupees twenty five only) for the application. I/We hereby undertake to abide by the conditions of the licence and the provision of the Bombay Prohibition Act, 1949, and the rules, regulations and orders made thereunder from time to time. 1)वॉट................................. हाण, 171806 .......................................... ८८.८... ८.८... Licensee. Signature of the Applicant. To